IMPORTÂNCIA DA NUTRIÇÃO ORIENTADA SOBRE MORBIDADES FETAIS E MATERNAS ASSOCIADAS À DIABETES MELLITUS GESTACIONAL

Gabriel Henrique Resende Melo; Matheus Baldini Camisão; Felipe Borges Coutinho; Daniel Martucheli Sena; Álvaro Camisão de Souza

IMPORTÂNCIA DA NUTRIÇÃO ORIENTADA SOBRE MORBIDADES FETAIS E MATERNAS ASSOCIADAS À DIABETES MELLITUS GESTACIONAL

Autores

Gabriel Henrique Resende Melo
Matheus Baldini Camisão
Felipe Borges Coutinho
Daniel Martucheli Sena
Álvaro Camisão de Souza

Palavras-chave:

alimentação, atenção primária à saúde, diabetes gestacional, nutrição

Resumo

Introdução: A Diabetes Melito Gestacional (DMG) pode ser caracterizada como qualquer grau de intolerância à glicose, com início ou primeiro reconhecimento durante a gestação. Além de problemas para a mulher (como aquisição de Diabetes Mellitus tipo II pós-parto), a hiperglicemia gestacional aumenta os riscos de os filhos dessas gestantes desenvolverem obesidade, síndrome metabólica e/ou diabetes na vida futura. No Brasil, cerca de 7% das gestações têm complicações relacionadas à hiperglicemia gestacional. Logo, percebe-se a necessidade de intervenções, no âmbito primário e ambulatorial, para o controle glicêmico dessas gestantes, tendo a nutrição um papel fundamental. Objetivo: Revisar os aspectos atuais da literatura relacionados às intervenções realizadas pela Atenção Primária à Saúde (APS) no cuidado nutricional para controle DMG. Material e métodos: Realizou-se uma análise retrospectiva da literatura por meio de levantamento de materiais bibliográficos entre os anos de 2010 e 2019 na plataforma BVS com os descritivos “diabetes mellitus”, “gestacional”, “nutrição”. Foram selecionados cinco artigos metodologicamente adequados para embasar a discussão. Resultados: A terapia nutricional, preferencialmente associada a exercícios físicos, constitui a primeira etapa no controle da DMG. O objetivo desta é atingir, para cada gestante individualmente, níveis energéticos e nutritivos adequados para apropriado ganho de peso gestacional juntamente ao controle glicêmico. Cerca de 60% das gestantes conseguem atingir a normoglicemia apenas com essa terapêutica. Desse modo, evita-se o ganho excessivo de peso pelas gestantes, além de gerar menor taxa de macrossomia fetal e de complicações perinatais. De forma geral, recomenda-se, além do suporte básico de vitaminas e sais minerais, que a dieta da gestante com DMG priorize uma distribuição harmônica entre os macronutrientes de modo que o valor energético total seja alcançado com cerca de 45-65% de carboidratos, 20-35% de lipídeos e 15-20% de proteínas. Conclusão: Diante da alta incidência da DMG, percebe-se a importância e o potencial da terapia nutricional para gestantes com essa afecção. Nesse contexto, reforça-se a relevância de uma equipe multidisciplinar na APS para coordenar tal terapêutica, visando à integridade da saúde da gestante e seus filhos.

Publicado

2020-09-01

Como Citar

Melo, G. H. R., Camisão, M. B., Coutinho, F. B., Sena, D. M., & de Souza, Álvaro C. (2020). IMPORTÂNCIA DA NUTRIÇÃO ORIENTADA SOBRE MORBIDADES FETAIS E MATERNAS ASSOCIADAS À DIABETES MELLITUS GESTACIONAL. Revista Multidisciplinar Em Saúde, 1(3), 24. Recuperado de http://editoraime.com.br/revistas/rems/article/view/368

Baixar Citação

Edição

v. 1 n. 3 (2020): Edição Especial: Anais do I Congresso Brasileiro de Saúde On-line

Seção

Anais de Evento

Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
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Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2]) % line  132, file: DAO.inc.php
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600) % line   91, file: ArticleSearchDAO.inc.php
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1) % line  201, file: SubmissionSearch.inc.php
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1) % line  194, file: SubmissionSearch.inc.php
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1) % line  146, file: SubmissionSearch.inc.php
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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